Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-19T20:20:26.585Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychological Interventions in Infection with the Human Immunodeficiency Virus

Published online by Cambridge University Press:  02 January 2018

Jose Catalan
Jose Catalan*
Affiliation:
Academic Department of Psychiatry, Charing Cross and Westminster Medical School, and Riverside Mental Health Trust; South Kensington and Chelsea Mental Health Centre, 1 Nightingale Place, London SW10. Fax: 0181 746 5648
Get access Rights & Permissions [Opens in a new window]

Extract

Background

Infection with the human immunodeficiency virus (HIV) is associated with substantial psychiatric morbidity. This paper summarises the main forms of psychological intervention currently used, and reviews research evidence for their efficacy.

Method

Publications on the mental health aspects of HIV infection and psychological interventions were identified through the main HIV journals and general psychiatric and psychological periodicals, with the assistance of AIDS Abstracts.

Results

Publications concerned psychological interventions at the time of HIV testing, interventions for infected people at different stages of disease, and risk-reduction interventions. While many publications were identified describing uncontrolled investigations, only a few studies had involved systematic evaluative research.

Conclusions

There is a need for systematic evaluation of psychological interventions for HIV infection, in terms of both efficacy and cost.

Type
Papers
Information
The British Journal of Psychiatry , Volume 167 , Issue 1 , July 1995 , pp. 104 - 111
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arno, P. S. (1986) The non-profit sector's response to the AIDS epidemic: community-based services in San Francisco. American Journal of Public Health, 76, 1325–1330.Google Scholar
Bor, R. (1993) Counselling patients with AIDS-associated Kaposi's sarcoma. Counselling Psychology Quarterly, 6, 91–98.CrossRefGoogle Scholar
Bor, R., Miller, R. & Johnson, M. (1991) A testing time for doctors: counselling patients before an HIV test. British Medical Journal, 303, 905–907.CrossRefGoogle ScholarPubMed
Bor, R., Miller, R. & Goldman, E. (1992) Theory and Practice of HIV Counselling. London: Cassell.Google Scholar
Bor, R., Miller, R. & Goldman, E. (1993) The meaning of bad news in HIV disease: counselling about dreaded issues revisited. Counselling Psychology Quarterly, 6, 69–80.CrossRefGoogle Scholar
Catalan, J. (1990a) Psychiatric manifestations of HIV disease. Bailliere's Clinical Gastroenterology, 4, 547–562.Google Scholar
Catalan, J. (1990b) HIV and AIDS-related psychiatric disorder: what can the psychiatrist do? In Dilemmas and Difficulties in the Management of Psychiatric Patients (eds Hawton, K. & Cowen, P.), pp. 205–217. Oxford: Oxford Medical.Google Scholar
Catalan, J. (1993) HIV Infection and Mental Health Care: Implications for Services. Copenhagen: World Health Organization Regional Office for Europe.Google Scholar
Catalan, J., Riccio, M. & Thompson, C. (1989) HIV disease and psychiatric practice. Psychiatric Bulletin, 13, 316–332.CrossRefGoogle Scholar
Catalan, J., Gath, D., Anastasiades, P., et al (1991) Evaluation of a brief psychological treatment for emotional disorders in primary care. Psychological Medicine, 21, 1013–1018.Google Scholar
Catalan, J., Klimes, I., Bond, A., et al (1992a) The psychosocial impact of HIV infection in men with haemophilia. Journal of Psychosomatic Research, 36, 409–416.Google Scholar
Catalan, J., Klimes, I., Day, A., et al (1992b) The psychosocial impact of HIV infection in gay men. British Journal of Psychiatry, 161, 774–778.Google Scholar
Catalan, J., & Thornton, S. (1993) Whatever happened to HIV-associated dementia? International Journal of STD and AIDS, 4, 1–4.Google Scholar
Davey, T. & Green, J. (1991) The worried well: ten years of a new face for an old problem. AIDS Care, 3, 289–293.Google Scholar
Empfield, M., Cournos, F., Meyer, I., et al (1993) HIV seroprevalence among homeless patients admitted to a psychiatric inpatient unit. American Journal of Psychiatry, 150, 47–52.Google Scholar
Forstein, M. (1984) AIDS anxiety in the “worried well”. In Psychiatric Implications of AIDS (eds Nichols, S. & Ostrow, D.), pp. 49–60. Washington, DC: American Psychiatric Press.Google Scholar
General Medical Council (1988) HIV Infection and AIDS: The Ethical Considerations. London: General Medical Council.Google Scholar
Gold, R. & Skinner, M. (1992) Situational factors and thought processes associated with unprotected intercourse in young gay men. AIDS, 6, 1021–1030.Google Scholar
Green, J. & Kocsis, A. (1988) Counselling patients with AIDS-related encephalopathy. Journal of the Royal College of Physicians of London, 22, 166–168.Google Scholar
Green, J. & McCreaner, A. (1989) Counselling in HIV Infection and AIDS. Oxford: Blackwell Scientific.Google Scholar
Guthrie, E., Creed, F., Dawson, D., et al (1993) A randomized controlled trial of psychotherapy in patients with refractory irritable bowel syndrome. British Journal of Psychiatry, 163, 315–321.Google Scholar
Hawton, K. & Kirk, J. (1989) Problem-solving. In Cognitive Behaviour Therapy for Psychiatric Problems (eds Hawton, H., Salkovskis, P., et al), pp. 406–426. Oxford: Oxford Medical.Google Scholar
Heimer, R., Kaplan, E. & Khoshnood, K. (1993) Needle exchange decreases the prevalence of HIV-1 proviral DNA in returned syringes in New Haven, Connecticut. American Journal of Medicine, 95, 214–220.Google Scholar
Higgins, D., Galavotti, C., O'Reilly, K., et al (1991) Evidence for the effects of HIV antibody testing and counselling on risk behaviours. Journal of the American Medical Association, 266, 2419–2429.Google Scholar
Keene, J., Stimson, G. & Jones, S. (1993) Evaluation of syringe-exchange for HIV prevention among injecting drug users in rural and urban areas of Wales. Addiction, 88, 1063–1070.Google Scholar
Kelly, J., Murphy, D., Roffman, R., et al (1989) Behavioural intervention to reduce AIDS risk activities. Journal of Consulting and Clinical Psychology, 57, 60–67.Google Scholar
Kelly, J., St Lawrence, J. & Brasfield, T. (1991) Predictors of vulnerability to AIDS risk behaviour relapse. Journal of Consulting and Clinical Psychology, 59, 163–166.Google Scholar
Kelly, J., St Lawrence, J. & Stevenson, L. (1992) Community AIDS/HIV risk reduction: the effects of endorsement by popular people in three cities. American Journal of Public Health, 82, 1483–1489.Google Scholar
Kelly, J., Murphy, D., Bahr, G., et al (1993) Outcome of cognitive-behavioural and support brief therapies for depressed HIV infected persons. American Journal of Psychiatry, 150, 1679–1686.Google Scholar
King, E. (1993) Safety in Numbers. London: Cassell.Google Scholar
King, M. (1989) Psychological and social problems in HIV infection: interviews with general practitioners in London. British Medical Journal, 299, 713–717.Google Scholar
Logsdail, S., Lovell, K., Warwick, H., et al (1991) Behavioural treatment of AIDS-focused illness phobia. British Journal of Psychiatry, 159, 422–425.CrossRefGoogle ScholarPubMed
Mann, J., Tarantola, D. & Netter, T. (1992) A Global Report: AIDS in the World. Cambridge, Mass.: Harvard University Press.Google Scholar
Mansfield, S., Barter, G. & Singh, S. (1992) AIDS and palliative care. International Journal of STD and AIDS, 3, 248–250.Google Scholar
Marzuk, P. (1991) Suicidal behaviour and HIV illnesses. International Review of Psychiatry, 3, 365–371.Google Scholar
McCullum, L. W., Dykes, J., Painter, L., et al (1999) The Ankali project: a model for the use of volunteers to provide emotional support in terminal illness. Medical Journal of Australia, 151, 33–38.Google Scholar
McQuay, H. & Moore, A. (1994) Need for rigorous assessment of palliative care. British Medical Journal, 309, 1315–1316.Google Scholar
Miller, D., Acton, T. & Hedge, B. (1988) The worried well: their identification and management. Journal of the Royal College of Physicians of London, 22, 158–165.Google Scholar
Miller, R., Bor, R., Salt, H., et al (1991) Counselling patients with HIV infection about laboratory tests with predictive values. AIDS Care, 2, 159–164.Google Scholar
Miller, R., & Bor, R., (1992) Pre-HIV antibody testing – too much fuss? Genitourinary Medicine, 68, 9–10.Google Scholar
Morin, S., Charles, K. & Malyon, A. (1984) The psychological impact of AIDS on gay men. American Psychologist, 39, 1288–1293.CrossRefGoogle ScholarPubMed
Mulleady, G. (1992) Counselling Drug Users about HIV and AIDS. Oxford: Blackwell Scientific.Google Scholar
Mulleady, G., Riccio, M. & Hogarth, S. (1989) HIV infection and drug users: setting up support groups. Counselling Psychology Quarterly, 2, 53–57.Google Scholar
Otten, M. W., Zaidi, A. A., Wroten, J., et al (1993) Changes in sexually transmitted disease rates after HIV testing and post-test counselling, Miami, 1988 to 1989. American Journal of Public Health, 83, 529–533.Google Scholar
Padian, N., O'Brien, T., Chang, Y., et al (1993) Prevention of heterosexual transmission of HIV through couple counselling. Journal of AIDS, 6, 1043–1048.Google Scholar
Perkins, D., Leserman, J., Murphy, C., et al (1993) Psychosocial predictors of high risk sexual behavior among HIV-negative homosexual men. AIDS Education and Prevention, 5, 141–152.Google ScholarPubMed
Perry, S. & Markowitz, J. (1988) Counselling for HIV testing. Hospital and Community Psychiatry, 39, 731–739.Google ScholarPubMed
Perry, S., Jacobsberg, L., Fishman, B., et al (1990b) Psychiatric diagnosis before serological testing for HIV. American Journal of Psychiatry, 147, 89–93.Google Scholar
Perry, S., Jacobsberg, L., & Fishman, B., (1990b) Suicidal ideation and HIV testing. Journal of the American Medical Association, 263, 679–682.Google Scholar
Perry, S., Fishman, B., Jacobsberg, L., et al (1991) Effectiveness of psycho–educational intervention in reducing emotional distress after HIV antibody testing. Archives of General Psychiatry, 48, 143–147.Google Scholar
Riccio, M., Pugh, K., Jadresic, D., et al (1993) Neuropsychiatric aspects of HIV-1 infection in gay men: controlled investigation of psychiatric, neuropsychological and neurological status. Journal of Psychosomatic Research, 17, 819–830.Google Scholar
Rotheram-Borus, M., Koopman, C. & Haignere, C. (1991) Reducing HIV sexual risk behaviour among runaway adolescents. Journal of the American Medical Association, 266, 1237–1241.Google Scholar
Sacks, M., Dermatis, H., Looser-Ott, S., et al (1992) Undetected HIV infection among acutely ill psychiatric inpatients. American Journal of Psychiatry, 149, 544–545.Google Scholar
Salkovskis, P. & Warwick, H. (1986) Morbid preoccupations, health anxiety and reassurance: a cognitive-behavioural approach to hypochondriasis. Behaviour Research and Therapy, 24, 597–602.CrossRefGoogle ScholarPubMed
Simpson, D., Knight, K. & Ray, S. (1993) Psychosocial correlates of AIDS-risk drug use and sexual behaviours. AIDS Education and Prevention, 5, 121–130.Google Scholar
Sims, R. & Moss, V. (1991) Terminal Care for People with AIDS. London: Edward Arnold.Google Scholar
Stimson, G. (1991) Risk reduction by drug users with regard to HIV infection. International Review of Psychiatry, 3, 401–415.Google Scholar
Susser, E., Valencia, E. & Conover, S. (1993) Prevalence of HIV infection among psychiatric patients in New York City men's shelter. American Journal of Public Health, 83, 568–570.Google Scholar
Thornton, S. & Catalan, J. (1993) Preventing the sexual spread of HIV infection – what have we learned? International Journal of STD and AIDS, 4, 311–316.CrossRefGoogle ScholarPubMed
Walter, H. & Vaughan, R. (1993) AIDS risk reduction among a multiethnic sample of urban high school students. Journal of the American Medical Association, 270, 725–730.Google Scholar
World Health Organization (1993) Statement from the Consultation on Testing and Counselling for HIV Infection. Geneva: Global Programme on AIDS, WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.